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Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Current Trends in Nursing II01:30

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Nursing Clinical Information System (NCIS)
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Related Experiment Video

Updated: Aug 27, 2025

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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A Systematic Review of Nursing Practice Workarounds.

Jennifer Lynn McCord, Cynthia Russell Lippincott, Eduardo Abreu

    Dimensions of Critical Care Nursing : DCCN
    |September 30, 2022
    PubMed
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    Nursing practice workarounds (NPWs) are common, especially with new technology and medication administration. Addressing workplace stressors and improving communication can prevent these issues, enhancing patient safety and system design.

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    Area of Science:

    • Healthcare systems research
    • Nursing informatics
    • Patient safety science

    Background:

    • Nursing practice workarounds (NPWs) present significant challenges in healthcare.
    • NPWs can hinder efficiency, patient safety, and system design.
    • A systematic review of NPW literature was previously lacking.

    Purpose of the Study:

    • To systematically review and synthesize evidence on NPW definitions, contexts, and prevention strategies.
    • To develop a framework for understanding NPWs and their implications for clinical practice.
    • To identify gaps and guide future research in NPW.

    Main Methods:

    • Systematic literature review adhering to PRISMA guidelines.
    • Searched databases: Academic Search, MEDLINE, PubMed, CINAHL, Google Scholar (2013-2020).
    • Included 13 studies, screened for relevance and quality.

    Main Results:

    • Thirteen studies were included, exhibiting varied NPW definitions and limited theoretical basis.
    • NPWs frequently occurred during new technology implementation (46%) and medication administration (31%).
    • Contributing factors included workplace stressors and workflow obstructions; prevention strategies involved open communication and proactive process management.

    Conclusions:

    • The review offers critical insights for nurses and administrators on managing NPWs.
    • Proactive communication and system improvements are essential for preventing NPWs related to new technologies and processes.
    • Further research is needed to explore NPW causes, consequences, and effective interventions, particularly in critical care settings.